Business Information

Business Structure
Sole TraderPartnershipCompanyTrustGovernment

Registered Business Name

Trading Name (if different from above)

Business Address

Postal Address

Trading Address (Owned/Leased/Rented/Other)

Contact Name for Accounts

Accounts Email

A.B.N

Date of Registration

Date of Incorporation

Affiliated or Parent Companies

Telephone Number

Fax Number

Mobile Number

Email

Please indicate the nature of your business

CHEP Account

What types of products will you be purchasing, and will this be on-going?

Owners/Partners/Directors/Sole Traders

Please complete full names and full residential addresses of all principals

Principal 1

Principal 1 Name

Principal 1 Address

Principal 2

Principal 2 Name

Principal 2 Address

Principal 3

Principal 3 Name

Principal 3 Address

Trust Information

Does the sole trader/partnership/company operate as a trustee of a trust?
YesNo

If yes to the previous question, please supply the following information:

Date of Trust

Name of Trust

Does the trustee have the power to obtain goods on credit?
Yes

Applicant declaration

I/We declare that all of the information given on behalf of the Buyer in this application for a trade account is true and correct and acknowledge that if a trade account is approved by ABSOLUTE TRADE SUPPLIES PTY LTD any such decision arises from the information given by me/us.

I/We declare that I/We am/are authorised to apply for and execute this application for a trade account.

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